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Bullying Report
Bullying is prohibited in Holy Trinity Catholic School
. It
must not be tolerated during the school day nor during any school sponsored activity on or off the school grounds. Bullying and intimidation are actions that are contrary to the teaching of Jesus Christ. This behavior is against the fundamental tenet of “love your neighbor as yourself,” and destroys respect for the dignity of the student, undermines the Christian atmosphere of the school, and deprives the student of a safe and caring learning environment.
If bullying is suspected, please complete the form below. It will automatically be submitted to the school administration for review, investigation, and follow-up. You may also report bullying in writing directly to the school administration. Please note that bullying needs to be reported within one day's time to accurately gather facts during investigation.
*
Indicates required field
Your Name
*
First
Last
Email
*
Phone Number
*
Address
*
City
*
State
*
Zip Code
*
Date of Incident
*
Your Role
*
Student
Teacher
Staff Member
Administration
Parent
Volunteer
Bystander
Other
Location of Incident
*
Unknown
Bus
Hallway
Classroom
Locker Room
Gym
Cafeteria
Extracurricular Activity
Bathroom
Lockers
Playground
Other
Description of Incident
*
Cause of Bullying
*
Unknown
Age
Color
Race
Creed
National Origin
Ancestry
Marital Status
Sex
Religion
Gender Identity
Physical Attributes
Physical/Mental Abilities
Political Beliefs/Party Prefernce
Socioeconomic Status
Sexual Orientation
Family Status
Other
Method of Bullying
*
Unknown
Electronic Communication
Written Communication
Verbal
Physical
Socio/Relational
Other
Who is the person being bullied?
*
What is the victim's grade/age?
*
Who was bullying?
*
What is the offender's grade/age?
*
Submit